1600 Ken Thompson Pkwy.

Sarasota, FL 34236

Phone: 941.388.4441 ext. 264

Fax: 941-388-4381


MOMMY and ME at MOTE – Spring 2017

Important Information:Our class is limited to 15 children (ages 2-5). Pre-registration required. Meetat the Aquarium entrance at 9:50 a.m. for our morning class to begin promptly at 10:00 a.m. on Tues., select Wed.,Thurs. mornings. Exploring the Bay classes, closed-toed, closed-heel water shoes required for both kids & participating adults. Come ready to get wet! Mommy and Me Masters program is offered on Thursday afternoons. Meet at Aq. front entrance at 1:20 p.m. for class to begin at 1:30 p.m.Please mail, fax, or e-mail completed registration form with payment. You may register over the phone by calling Miranda Wrobel at 941.388.4441 ext. 264 or email to . We will confirm registration by e-mail.Online registration available at

Participating Children: Name(s) Age:

Age:

Age:

Participating Parent/ Guardian: Name(s) Relationship to child:

E-mail (required):

Phone Number: Best ( )Alternate ( )

Billing Address: City: State: Zip:

Mote Membership #: Expiration Date:

PRE-PAYMENT REQUIRED / Mote Members / Non-members
1 Class / $14/”Mommy and Me” pair ($5/extra child) / $18/Mommy and Me pair ($6/extra child)
4 Classes / 10 % discount applied to registered classes
17 Classes / 15 - 20 % discount applied (Prices based off online registration at
DATE
Tuesdays
Exploring the Bay
(circle one) / Session Theme
New class every week! / DATE
Thursdays
(circle one) / Mommy and Me Masters
Thursdays
(p.m.) / Special Wednesday Offerings
(a.m. only) / # of Additional Children / COST
(see above)
We Are Family / January 12 / January 12 / January 11
January 19 / January 19
January 26 / January 26 / January 25
February 2 / February 2
So Happy Together / February 9 / February 9 / February 8
No class / No class
February 23 / February 23
March 2 / March 2
At Home in the Ocean / No class / No class
March 16 / March 16 / March 15
March 14 / March 23 / March 23 / March 22
March 21 / March 30 / March 30
March 28 / Shark-a-palooza / April 6 / April 6
April 4 / April 13 / April 13 / April 12
April 11 / April 20 / April 20
April 18 / April 27 / April 27
April 25 / Swim Into Summer / May 4 / May 4 / May 3
May 2 / Total:

Cash Amount: ______

Check Please make checks payable to Mote Marine Laboratory. Amount: ______Check #: ______

Credit Card Please circle your credit card of choice. VISA MASTER CARD AMERICAN EXPRESS DISCOVER

Card #: ______Expiration Date: ____/____ (mm/yy) Amount: ______

Name as it appears on card: ______Signature:______

MAIL:Mote Marine Laboratory, Attn: Miranda Wrobel, 1600 Ken Thompson Parkway, Sarasota, FL 34236

FAX (Credit Card payment only): (941) 388-4381

Cancellation Policy: There are no refunds for Mote Education programs unless Mote cancels the program. If you provide notice of cancellation more than 24 hours before the program begins, we will credit your payment to a future Mommy & Me program. If you cancel within 24 hours of the program or fail to show up without giving notice, you will be charged in full for the program.